Individual provider · Type 1 NPI

Maryann Bacon

Addiction (Substance Use Disorder) Counselor · Susanville, CA

NPI number 1124216627 Active

Practice location

1410 Chestnut St
Susanville, CA 96130-3719

Call (530) 251-8112 Map

Fax (530) 251-5884

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124216627

Maryann Bacon's National Provider Identifier is 1124216627, issued on Oct 9, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Susanville, CA. The record was last updated on Oct 9, 2007.